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  5. WINDHAM EYE GROUP, P.C.

WINDHAM EYE GROUP, P.C.

Company Details

Entity Name: WINDHAM EYE GROUP, P.C.
Jurisdiction: Connecticut
Legal type: Stock
Citizenship: Domestic
Status: Dissolved
Sub status: Annual report due
Date Formed: 05 Apr 1978
Date of dissolution: 20 Dec 2022
Business ALEI: 0074295
Annual report due: 05 Apr 2023
NAICS code: 621111 - Offices of Physicians (except Mental Health Specialists)
Business address: 83 QUARRY STREET, WILLIMANTIC, CT, 06226, United States
Mailing address: 83 QUARRY STREET, WILLIMANTIC, CT, United States, 06226
ZIP code: 06226
County: Windham
Place of Formation: CONNECTICUT
Total authorized shares: 5000
E-Mail: shussbliss@gmail.com

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2022 060979605 2023-06-08 WINDHAM EYE GROUP, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2021 060979605 2022-10-07 WINDHAM EYE GROUP, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2020 060979605 2021-09-28 WINDHAM EYE GROUP, P.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2019 060979605 2020-10-15 WINDHAM EYE GROUP, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2018 060979605 2019-10-08 WINDHAM EYE GROUP, P.C. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2017 060979605 2018-10-10 WINDHAM EYE GROUP, P.C. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2016 060979605 2017-09-25 WINDHAM EYE GROUP, P.C. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2015 060979605 2016-08-24 WINDHAM EYE GROUP, P.C. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2014 060979605 2015-08-26 WINDHAM EYE GROUP, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 060979605
Plan administrator’s name WINDHAM EYE GROUP, P.C.
Plan administrator’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
Administrator’s telephone number 8604231619

Signature of
Role Plan administrator
Date 2015-08-26
Name of individual signing DANA WOODS, M.D., M.S.
Valid signature Filed with authorized/valid electronic signature
WINDHAM EYE GROUP, P.C. 401(K) PROFIT SHARING PLAN 2013 060979605 2014-08-05 WINDHAM EYE GROUP, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1978-05-01
Business code 621111
Sponsor’s telephone number 8604231619
Plan sponsor’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226

Plan administrator’s name and address
Administrator’s EIN 060979605
Plan administrator’s name WINDHAM EYE GROUP, P.C.
Plan administrator’s address 83 QUARRY STREET, BOX 16, WILLIMANTIC, CT, 06226
Administrator’s telephone number 8604231619

Signature of
Role Plan administrator
Date 2014-08-05
Name of individual signing DANA WOODS, M.D., M.S.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Business address Mailing address Phone E-Mail Residence address
DANA WOODS M.D. Agent 83 QUARRY STREET, WILLIMANTIC, CT, 06226, United States 83 QUARRY STREET, WILLIMANTIC, CT, 06226, United States +1 860-423-1619 shussbliss@gmail.com 15 SKUNGAMAUG ROAD, TOLLAND, CT, 06264, United States

Officer

Name Role Business address Phone E-Mail Residence address
DANA WOODS M.D. Officer 83 QUARRY ROAD, WILLIMANTIC, CT, 06226, United States +1 860-423-1619 shussbliss@gmail.com 15 SKUNGAMAUG ROAD, TOLLAND, CT, 06264, United States

License

Credential Credential type Status Status reason Issue date Effective date Expiration date
OSP.001663 Optical Selling Permit INACTIVE LAPSED DUE TO NON-RENEWAL 2004-09-02 2021-09-01 2022-08-31

History

Type Old value New value Date of change
Name change CARL W.LINDQUIST, M.D., P.C. WINDHAM EYE GROUP, P.C. 1993-06-10

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0011537005 2022-12-20 2022-12-20 Dissolution Certificate of Dissolution No data
BF-0010650567 2022-07-26 No data Annual Report Annual Report No data
BF-0009804343 2022-06-21 No data Annual Report Annual Report No data
0006895561 2020-04-30 No data Annual Report Annual Report 2018
0006895564 2020-04-30 No data Annual Report Annual Report 2019
0006895568 2020-04-30 No data Annual Report Annual Report 2020
0006895554 2020-04-30 No data Annual Report Annual Report 2017
0006895550 2020-04-30 No data Annual Report Annual Report 2016
0005537249 2016-04-12 No data Annual Report Annual Report 2015
0005105190 2014-05-13 No data Annual Report Annual Report 2014

Related by officers

No related officers

Related by address

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Date of last update: 25 Nov 2024

Sources: Connecticut's Official State Website

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